Critical Value Reporting at Egyptian Laboratories

Mosallam, Rasha; Ibrahim, Samaa Zenhom

doi:10.1097/pts.0000000000000217

Cited by 7 publications

(12 citation statements)

References 25 publications

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“…PT/INR, APTT, platelet count, FXI, and FXIII assays had a defined critical value among all laboratories that performed these tests, while some tests (n: 7 out of 27 tests with a critical value, 26%) had critical values in only one of the 157 laboratories. In Iran, about 72.6% of the responding laboratories (102 out of 157) based their hemostasis critical values thresholds on the literature, which is consistent with Australian and European laboratories that published literature was a common source . Iranian laboratories performed 42 coagulation tests, among them, 27 (64.3%) tests had critical values in at least one laboratory.…”

Section: Discussionsupporting

confidence: 62%

Hemostasis critical values among Iranian clinical laboratories “National Survey of 157 Clinical Laboratories”

Dorgalaleh

Shiravand²,

Dabbagh

et al. 2019

Int J Lab Hematology

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Background: Immediate reporting of critical values or test results significantly outside the normal range has a growing role in the management of patients, especially in life-threatening conditions. Due to the lack of international consensus, diverse approaches are used for determination of thresholds, reporting, documentation, and follow-up. In this study, we assessed how Iranian laboratories manage critical values for hemostasis. Methods:We designed a standard questionnaire to assess different aspects of hemostasis critical values, including the number of coagulation tests with a defined critical value, critical values reporting, documentation, and follow-up policies. All results were self-reported and correctness of the data was not assessed by the authors. Results: A total of 166 (66.4%) out of 250 laboratories completed the questionnaire; most (52.4%) were private. About 97% of responding laboratories had a critical values policy. These were defined for 64.3% (n: 27) of all coagulation tests (n: 42) performed in Iranian laboratories. Activated partial thromboplastin time (APTT), prothrombin time/international normalized ratio (PT/INR), platelet count, factor XI, and factor XIII assays had defined critical values among all laboratories performing these tests. Almost all laboratories reported critical values within 1 hour, after confirmation of the result on the same sample (70% of the laboratories) or a new one (13.4% of the laboratories). State and private laboratories had the same critical value reporting policy for in and outpatients, with laboratory technicians reporting critical results to nurses, for the most part.

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Section: Discussionsupporting

confidence: 62%

Hemostasis critical values among Iranian clinical laboratories “National Survey of 157 Clinical Laboratories”

Dorgalaleh

Shiravand²,

Dabbagh

et al. 2019

Int J Lab Hematology

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“…McFarlane et al [ 4 ] recommended that each laboratory should have their own list of critical values and must report when a result falls outside the determined limits. Regrettably, issues of timely notification and not following-up a critical value persist within present health care systems [ 4 , 5 ]. Furthermore, critical laboratory values are yet to be standardised throughout health care systems, which requires individual health care organisations to decide their own [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Regrettably, issues of timely notification and not following-up a critical value persist within present health care systems [ 4 , 5 ]. Furthermore, critical laboratory values are yet to be standardised throughout health care systems, which requires individual health care organisations to decide their own [ 5 , 6 ]. In 2004, the World Health Organization stated that the reporting of critical laboratory values is a key goal towards patient safety and it is also an important element in many worldwide accreditation programmes [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, critical laboratory values are yet to be standardised throughout health care systems, which requires individual health care organisations to decide their own [ 5 , 6 ]. In 2004, the World Health Organization stated that the reporting of critical laboratory values is a key goal towards patient safety and it is also an important element in many worldwide accreditation programmes [ 4 , 5 ]. For example, instant notification of a critical laboratory value is required of medical laboratories abiding by ISO 15,189 guidelines [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Baseline assessment of staff perception of critical value practices in government hospitals in Kuwait

ALFadhalah

Mudaf

Tawalah

et al. 2022

BMC Health Serv Res

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Background Notification of laboratory-determined critical values is key for effective clinical decision making and is thus a consequential step in a patient’s health care and safety. This study presents an overview of staff reporting policies and procedures concerning critical values in Kuwaiti governmental hospitals. Methods A cross-sectional descriptive study design was adopted. Study subjects were affiliated with laboratories from five government hospitals (four general and one sub-specialty hospital). All laboratory staff in every hospital were included. The Statistical Package for the Social Sciences (version 23) was used to analyse the collected data at a significance level of ≤ 0.05. Quantitative data analysis included univariate descriptive (means, medians, standard deviations, frequencies, percentages) and bivariate (chi-squared, ANOVA and Kruskal–Wallis tests) analyses. These analyses provided associations between participating hospitals and staff perceptions towards the policies and procedures surrounding critical values. Results 559 questionnaires were returned, a total response of 30.5% after those of 79 phlebotomists were excluded (eligible sample size n = 1833). The notification of critical values differs between participated laboratories in delivering protocol and time duration. Linked protocols between laboratories did not exist regarding policies and guidelines for applying the same procedures for critical value notification. There are differences in critical value limits among the participating laboratories. Conclusion This study is the first to survey laboratory staff perceptions of critical value practices in Kuwaiti government hospitals. Enhancing critical value reporting and policy is crucial for improving patient safety and to develop high-quality health services. The findings of this study can help policy makers implement future intervention studies to enhance laboratory practices in the area of critical values and improve patient safety and the quality of government hospital systems.

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“…Recently, critical value research mainly involves two aspects: critical value reporting policies and practices and critical value data analysis. The critical value reporting is a key component to improve total healthcare system by encouraging health care providers for effective treatment of the patients; thus, many studies examine critical value reporting policies and practices and identify critical value ranges for different hospitals using a national survey (7)(8)(9)(10). For the second aspect, many studies mainly analyze the occurrence and distribution of critical values and the relationship between the frequency of such values and patient outcome and can provide information for hospitals on improving reporting policies (11)(12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Prevalence, Association Relation, and Dynamic Evolution Analysis of Critical Values in Health Checkup in China: A Retrospective Study

Chen

Liu

et al. 2021

Front. Public Health

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Objective: The critical values in health checkup play a key role in preventing chronic diseases and different types of cancer. This study aimed to analyze the prevalence, association relation, and dynamic evolution of critical values in health checkups at a large physical examination center in China.Methods: Herein, we chose 33,639 samples of physical examiners from January 2017 to December 2019. After strict exclusion processes, combined with the critical values in health checkup reporting data, 4,721 participants with at least one critical value were included. We first defined a critical value list for laboratory test, imaging, cervical cancer screening, electrocardiogram, and health checkup informed on site, and then performed a cross-sectional study to analyze the distribution and significance of critical values of 4,721 participants from different views and the association relation of 628 participants with more than one critical value and a retrospective cohort study to analyze the incidence and dynamic evolution of critical values based on 2,813 participants attending the physical examination from 2017 to 2019.Results: A total of 4,721 participants were included in the retrospective study. The prevalence of 10 critical values from 33,639 participants was over 0.6%. The critical values of obesity, hypertension, Glucose_T, Liver_T, Kidney_T, Lipid_T, Urine_T, and Head_CT were significantly increased in men (P < 0.05), whereas the results were the opposite for the Blood_T and Thyroid_US (P < 0.01). The prevalence trend of critical values increased along with age, where the prevalence of men was higher than that of women under 60 years old (P < 0.01), while the prevalence of women increased by four times and exceeded the prevalence of men above 70 years old. Association relation analysis identified 16 and 6 effective rules for men and women, respectively, where the critical values of Urine_T and Glucose_T played the central roles. Furthermore, a retrospective dynamic evolution analysis found that the incidence of new critical values was about 10%, the incidence of persistent critical values was about 50%, and that most of the effective evolution paths tended to no critical values for men and women.Conclusion: In conclusion, this study provides a new perspective to explore the population health status using the critical value reporting data in a physical examination center, which can assist in decision-making by health management at the population level and in the prevention and treatment of various types of cancer and chronic diseases at the individual level.

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Critical Value Reporting at Egyptian Laboratories

Abstract: Critical value policies and practices showed interinstitutional variation with deficiencies in some reporting practices. Selection of critical assays for notification and setting the limits of notification exhibited wide variation as well.

Cited by 7 publications

References 25 publications

Hemostasis critical values among Iranian clinical laboratories “National Survey of 157 Clinical Laboratories”

Hemostasis critical values among Iranian clinical laboratories “National Survey of 157 Clinical Laboratories”

Baseline assessment of staff perception of critical value practices in government hospitals in Kuwait

Prevalence, Association Relation, and Dynamic Evolution Analysis of Critical Values in Health Checkup in China: A Retrospective Study

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